Organization
BLEI GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESTINEE BERTIA BLEI AGNP (OWNER)
(850) 774-9535
Entity
Organization
Contact information
Practice address
825 FLORIDA AVE, LYNN HAVEN, FL 32444-2335
(850) 265-3686
Mailing address
6103 EDITH STEPHENS DR, PANAMA CITY, FL 32404-1933
(850) 774-9535
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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